2B
2022 Flexible Options Camp Registration Section
• Register by March 15 and pay the $ 15 / wk deposit to be automatically enrolled in a monthly payment plan . Payments are equally distributed and charged to the designated credit card the 1st of every month for the next three consecutive months .
How to use this form :
• Select the weekly options you wish to register for by checking the boxes .
• Total Fee : Add the fees for each section and mark the fee .
• Total Deposit : If you elect to pay a deposit , subtract the deposit from the total fee and mark it .
• Use the worksheet to find your Total Balance Due . Transfer the total balance due to the previous page .
• To complete your registration process , finalize sections , 1 , 2B , 2C , 3 , 4 and 5 ( previous page ). Complete one form per child you are enrolling . Additional forms are found online at glenviewparks . org or at Park Center .
Registrant ’ s first name : ________________________________________________ Registrant ’ s last name : ____________________________________________
Sex : M _____ F ______ Birthdate : __________________ Grade : ________
|
Playtime Pals Ages 4-5 ID # 5020015 |
Sun Troopers Ages 6-7 ID # 5020016 |
Fun Quest Ages 8-10 ID # 5020017 |
Register by the week Week 1 • 6 / 6 - 6 / 10 Week 2 • 6 / 13 - 6 / 17 Week 3 • 6 / 20 - 6 / 24 Week 4 • 6 / 27 - 7 / 1 Week 5 • 7 / 5 - 7 / 8 Week 6 • 7 / 11 - 7 / 15 Week 7 • 7 / 18 - 7 / 22 Week 8 • 7 / 25 - 7 / 29 Week 9 • 8 / 1 - 8 / 5 |
Section EB ( R / NR ) FEE ( R / NR ) DEP . |
A � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
B � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
C � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
D � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
E � |
$ 162 /$ 203 $ 179 /$ 224 |
$ 15 |
F � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
G � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
H � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
I � |
$ 203 /$ 254 $ 224 /$ 280 |
$ 15 |
|
Section EB ( R / NR ) FEE ( R / NR ) DEP . |
A � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
B � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
C � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
D � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
E � |
$ 299 /$ 374 $ 329 /$ 412 |
$ 15 |
F � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
G � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
H � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
I � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
|
Section EB ( R / NR ) FEE ( R / NR ) DEP . |
A � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
B � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
C � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
D � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
E � |
$ 299 /$ 374 $ 329 /$ 412 |
$ 15 |
F � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
G � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
H � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
I � |
$ 374 /$ 468 $ 412 /$ 515 |
$ 15 |
|
|
Total Fee $______________
- Total Deposit $______________
= Balance Due $______________
|
Total Fee $______________
- Total Deposit $______________
= Balance Due $______________
|
Total Fee $______________
- Total Deposit $______________
= Balance Due $______________
|
|
( Total Fee , less Total Deposit .) |
( Total Fee , less Total Deposit .) |
( Total Fee , less Total Deposit .) |
|
|
Worksheet |
|
Enter Balance Due from each column Playtime Pals
$______ + Sun Troopers $______ + Fun Quest $______
2B
= $______________** Total Balance Due
** Enter this amount on page 31 section
Return form to Park Center , 2400 Chestnut Ave ., Glenview , IL 60026 • Fax : 847-657-6231 • Additional forms are available at Park Center . You can also register for Flexible Options Camps at glenviewparks . org .